N418Remark Code (RARC)Active
N418 Remark Code - Misrouted Claim Explanation
The N418 remark code indicates that the claim was misrouted, suggesting that it was sent to the incorrect location or payer. This remark advises the biller to consult the payer's claim submission instructions to determine the correct process for resubmission or further action.
How It Relates to the Denial
The N418 code typically accompanies an adjustment reason code that relates to submission errors or routing issues. Together, they signal that the claim did not reach the intended payer due to incorrect submission methods or addresses.
Common Scenarios
1A provider submitted a claim for a patient’s surgery but received a remittance with an adjustment indicating the claim was not processed due to misrouting.
→ The N418 remark code clarifies that the claim was sent to the wrong payer, and the provider needs to verify the submission guidelines to ensure it is sent correctly next time.
2A facility billed for a diagnostic test, but the remittance returned indicated an adjustment with a remark about misrouting.
→ The appearance of the N418 code suggests that the claim did not reach the appropriate payer, prompting the biller to review the payer's claim submission instructions.
3An outpatient service claim was submitted, but the remittance advice noted a misrouted claim with an adjustment.
→ The N418 remark code is alerting the biller that the claim was submitted incorrectly, indicating a need to check the payer's guidelines for proper submission.
What to Do
- Consult the payer's claim submission instructions to identify the correct submission process.
- Prepare to resubmit the claim to the appropriate payer as indicated in the guidelines.
What to Check
- The payer's claim submission instructions for specific routing requirements.
- The claim submission history to verify where the claim was sent.
- The remittance advice for any accompanying adjustment reason codes that provide additional context.